Insurance denied...

So, I got the call today.  My insurance (Blue Cross Prudent Buyer) denied my RNY as not medically necessary.  My bmi is 39.7, and I don't yet have any documented co-morbidities.  If I had waited another week or two, I could have gained 5 more pounds and had a bmi of 40.  Insurance companies are ridiculous!  So, I'm waiting for my sleep study results.  If I have sleep apnea, the doctor's office will send an appeal with the sleep apnea as a co-morbidity, and then, maybe, I'll qualify.  The "date" was supposed to be March 10th, which is PERFECT for my schedule and would have allowed me to use spring break for my second week of recovery, but now I'm thinking I'll probably lose that date.  It really sucks.  I hope the sleep study results come back quickly.  I'm just so depressed about it!

I know its fustrating.  Hoping you will get approved.  If you have problems let me know I will see if I can help you.   Vicki

VIckie .. I have Cigna PPO and when I had my original surgery they denied the DS but approved RNY within a day.  I am trying to get a revision and go for a consult on April 1 ....My Question is ....do you think wit a BMI of 38.2., borderline HB ....Sleep Apnea ...Hernia on my pouch ..Osteoarthritis ...urinary stress incontinence ...Fmily history of heart disease.  Do you think i will have a problem gettin approved..my original BMI was wel over 60 .... Cheryl I really want a revision to DS but dont know if they will deny now .

Thank you, Vicki!  I will!  :)Michelle

Dont worry about the schedule, just focus on fighting them and appealing the decision.  They're wrong and they're hoping you'll go away